| NPI | 1861626202 |
|---|---|
| Former Name | KYRA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06949) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005309) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-03-26 |